Individual provider Active NPI

Sang Oh Lee, M.D.

  • Nuclear Imaging & Therapy Physician
  • Newark, NJ
National Provider Identifier
1467552257
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
25MA04473700 Issued in NJ
Practice address
201 Lyons Ave
Suite G4
Newark, NJ 07112-2027
Phone
(973) 926-7888
Fax
(973) 923-8232
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 25MA04473700 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
Suite G4
Newark, NJ 07112-2027

Mailing address

37 Morningside Dr
Livingston, NJ 07039-1827
Phone (973) 535-5670

Other identifiers 1

IdentifierTypeStateIssuer
8102309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000024 NJ Practitioner - Nuclear Medicine 1153366299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04473700NJMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Imaging Network, LLC CurrentSince Aug 1, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jan 1, 2023 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Saint Barnabas Outpatient Centers CurrentSince Jun 4, 2025 Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

36 Newark Ave
Ste 100
Belleville, NJ 07109
Phone (973) 844-4170

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960

201 Lyons Ave
Ste G4
Newark, NJ 07112
Phone (973) 926-6585

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: slee102096@epicdirect.rwjbh.org
  • Direct secure messaging: slee@ehcal-nj.direct.office.nextgen.com
  • Direct secure messaging: sang.lee@direct.bayonnemedicalcenter.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1467552257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MORNINGSIDE DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391827",
            "telephone_number": "973-535-5670",
            "fax_number": "973-535-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "SUITE G4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7888",
            "fax_number": "973-923-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "OH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NJ",
            "license": "25MA04473700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.